Medicine and Health Sciences Commons^™

Mental Health Parity: Implications For The State Of Florida, Bruce Levin, Ardis Hanson, Richard Coe, Ann Taylor

Bruce Lubostsky Levin, DrPH, MPH

The federal Mental Health Parity Act of 1996 required insurers to offer the same benefits for mental disorders and substance abuse as they provide for physical disorders and includes parity for any annual or lifetime limitations and restrictions placed upon such coverage. To date, twenty-one states across the nation have enacted parity laws for mental health and/or substance abuse benefits. This paper summarizes the essential issues facing the state of Florida in the development of state mental health parity legislation, including an examination of the experiences of other states, a look at potential benefits, and a discussion of the ...

Timp-1 Expression Is Increased In X-Linked Progressive Retinal Atrophy Despite Its Exclusion As A Candidate Gene, Caroline Zeiss, Gregory M. Acland, Gustavo D. Aguirre, Kunal Ray

Gustavo D. Aguirre, VMD, PhD

Parent Influences On Adolescent Peer Orientation And Substance Use: The Interface Of Parenting Practices And Values, Karen Bogenschneider, Ming-Yeh Wu, Marcela Raffaelli, Jenner C. Tsay

Faculty Publications, Department of Psychology

This study examines how experiences in the family domain may magnify or mitigate experiences in the peer domain, and how processes in both milieus may influence adolescent substance use. The data derived from 666 European American mother-adolescent dyads and 510 European American father-adolescent dyads. Consistent with individuation-connectedness theory, mothers’ responsiveness lessened their adolescents’ orientation to peers, which, in turn, reduced adolescent substance use. This process was moderated by maternal values regarding adolescent alcohol use; that is, the relation of maternal responsiveness to adolescent substance use depended on the extent of maternal approval or disapproval of adolescent alcohol use. Among fathers ...

The Guillain-Barre Syndrome And The 1992-1993 And 1993-1994 Influenza Vaccines, Tamar Lasky, Gina J. Terracciano, Laurence Magder, Carol Lee Koski, Michael Ballesteros, Denis Nash, Shelley Clarke, Penina Haber, Paul D. Stolley, Lawrence B. Schonberger, Robert T. Chen

Publications and Research

Background
The number of reports of influenza-vaccine-associated Guillain-Barré syndrome to the national Vaccine Adverse Event Reporting System increased from 37 in 1992-1993 to 74 in 1993-1994, arousing concern about a possible increase in vaccine-associated risk.

Methods
Patients given a diagnosis of the Guillain-Barré syndrome in the 1992-1993 and 1993-1994 influenza-vaccination seasons were identified in the hospital-discharge data bases of four states. Vaccination histories were obtained by telephone interviews during 1995-1996 and were confirmed by the vaccine providers. Disease with an onset within six weeks after vaccination was defined as vaccine-associated. Vaccine coverage in the population was measured through a random-digit-dialing ...

Release Of Camp Gating By The Alpha6beta4 Integrin Stimulates Lamellae Formation And The Chemotactic Migration Of Invasive Carcinoma Cells, Kathleen L. O'Connor, Leslie M. Shaw, Arthur M. Mercurio

Cancer Biology Publications

The alpha6beta4 integrin promotes carcinoma in-vasion by its activation of a phosphoinositide 3-OH (PI3-K) signaling pathway (Shaw, L.M., I. Rabinovitz, H.H.-F. Wang, A. Toker, and A.M. Mercurio. Cell. 91: 949-960). We demonstrate here using MDA-MB-435 breast carcinoma cells that alpha6beta4 stimulates chemotactic migration, a key component of invasion, but that it has no influence on haptotaxis. Stimulation of chemotaxis by alpha6beta4 expression was observed in response to either lysophosphatidic acid (LPA) or fibroblast conditioned medium. Moreover, the LPA-dependent formation of lamellae in these cells is dependent upon alpha6beta4 expression. Both lamellae formation and chemotactic migration are ...

Analysis Of Murine Cd8(+) T-Cell Clones Specific For The Dengue Virus Ns3 Protein: Flavivirus Cross-Reactivity And Influence Of Infecting Serotype, Anne C. Spaulding, Ichiro Kurane, Francis A. Ennis, Alan L. Rothman

Open Access Publications by UMass Chan Authors

Serotype-cross-reactive dengue virus-specific cytotoxic T lymphocytes (CTL) induced during a primary dengue virus infection are thought to play a role in the immunopathogenesis of dengue hemorrhagic fever (DHF) during a secondary dengue virus infection. Although there is no animal model of DHF, we previously reported that murine dengue virus-specific CTL responses are qualitatively similar to human dengue virus-specific CTL responses. We used BALB/c mice to study the specificity of the CTL response to an immunodominant epitope on the dengue virus NS3 protein. We mapped the minimal H-2Kd-restricted CTL epitope to residues 298 to 306 of the dengue type 2 ...

Dynamics Of Human Immunodeficiency Virus Type 1 Replication In Vertically Infected Infants, Katherine Luzuriaga, Hulin Wu, Margaret M. Mcmanus, Paula Britto, William Borkowsky, Sandra K. Burchett, Betsy Smith, Lynne M. Mofenson, John L. Sullivan

Open Access Publications by UMass Chan Authors

Plasma human immunodeficiency virus type 1 (HIV-1) turnover and kinetics were studied in children aged 15 days to 2 years following the initiation of a triple antiretroviral drug regimen consisting of zidovudine, lamivudine, and nevirapine. HIV-1 turnover was at least as rapid as that previously described in adults; turnover rates were more rapid in infants and children aged 3 months to 2 years than in infants less than 3 months of age. These data confirm the central role of HIV-1 replication in the pathogenesis of vertical HIV-1 infection and reinforce the importance of early, potent combination therapies for the long-term ...

In The Affirmative, Vol.5, [No.11] (Mid-December 1998/Mid-January 1999), Mike Martin, The Aids Project

In the Affirmative

No abstract provided.

D'Oh! An Analysis Of The Medical Care Provided To The Family Of Homer J. Simpson, Robert Patterson, Charles Weijer

Charles Weijer

No abstract provided.

Tractor Driver Killed In Overturn While Mowing, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 44-year-old farm owner was killed when the tractor he was driving overturned. Using a rotary mower attached to a Ford 600 tractor, the farmer was mowing an area along the gravel road leading to his home in a very remote area of the county. On the east side was a fence and on the west a brush covered embankment. At the top of the seven-foot embankment was a sloping field that had been mowed earlier in the season. The tractor, having been purchased six weeks earlier, had undergone maintenance work but was not equipped with a Roll Over Protective ...

Parental Grief Responses To Perinatal Loss, Lisa M. Peacock

Masters Theses

An exploratory, descriptive design was used to examine parental grief and coping responses to perinatal loss. Florence Selder's Life Transition Theory (1989) was used as the conceptual fiamework. A survey approach was used for data collection. This included basic demographic questions, the Perinatal Bereavement Scale and the Jalowiec Coping Scale. A convenience sample was obtained, consisting of 24 women and 6 men in northern Michigan communities who had experienced a perinatal loss at some time in the past. Data were collected by an anonymous mailed survey. The results of the study revealed that all parents in this sample did ...

Sunday Times: Pig Blood May Replace Human Transfusions, Nick Newman, Cherry Norton

Vivian C. McAlister

How Pigs' Blood Could Save Lives: Canadian Study Could End Need For Human Donations, Allison Hanes, Randy Boswell

Vivian C. McAlister

Factory Worker Caught In Overhead Conveyor While Hanging Transformers, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Other

A 29-year-old male factory worker (the victim) died after his head became caught at the point where an overhead chain conveyor made contact with an idler, or pinwheel, that allowed the conveyor to make a 90-degree turn. The conveyor was over seven feet above the floor, but the victim, who was 6'7" tall, was standing on a platform that enabled him to reach the hooks on the conveyor to hang transformer canisters for delivery to a paint booth. No one saw the victim get caught at the nip point, but his supervisor heard him call out and immediately pushed ...

Tractor Operator Killed By Rotary Mower While Mowing Highway Right-Of-Way, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 23-year-old male (the victim) was killed when he fell from the tractor he was operating and was run over by the attached rotary mower. The victim had been mowing near an interstate highway on-ramp at about 1:15 pm, when his right front tractor wheel hit a concrete drainage culvert, apparently jolting him off, into the path of the mower. Although he was working with a crew, none of his co-workers witnessed the event. A passing commercial truck driver saw the victim fall, pulled over, and called emergency medical services (EMS) on his cellular phone. EMS personnel arrived within ...

Factory Worker Entangled In Conveyor Belt Rollers, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Other

An 18-year-old male chop saw operator (the victim) died when his right arm became caught in the roller mechanism underneath a conveyor belt. He was pulled into the roller mechanism and suffered compressional asphyxia and blunt force injuries. The victim had left his usual work station for a break. When he did not return on time, his supervisor began to search for him. He saw the victim's legs hanging from the conveyor belt and immediately ran to him and shut off the power to the conveyor belt, radioing a guard to call for emergency medical services (EMS). He and ...

Lower Lip Numbness Due To Peri-Radicular Dental Infection, Wei Cheong Ngeow

Wei Cheong Ngeow

Lower lip numbness has always been a sinister symptom. Much has been written about it being the sole symptom of pathological lesions and metastatic tumours in the mandible. It may also be a symptom of manifestations of certain systemic disorders. A case of lower lip numbness resulting from the compression of the mental nerve by a peri-radicular abscess is presented because of the unusual nature of this spread of infection.

Tropicalizando A Medicina [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.

Programs Of Assertive Community Treatment (Pact): A Critical Review, Tomi Gomory

Tomi Gomory

Advocates of Programs of Assertive Community Treatment (PACT) make numerous claims for this intensive intervention program, including reduced hospitalization, overall cost, and clinical symptomatology, and increased client satisfaction, and vocational and social functioning. However, a reanalysis of the controlled experimental research finds no empirical support for any of these claims. Instead, there is evidence that the program is both coercive and potentially harmful. The current promotion of PACT appears to be based more on professional enthusiasm for the medical model than upon any benefit to the clients.

Yale Nurse: Yale School Of Nursing Newsletter, December, 1998, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

This issue features research at the School and the opening of an Office of Research and Policy.

Please contact the Yale Historical Medical Library if you need a higher resolution version.

The Molecular Basis Of Cancer, Frank Gorga

Bridgewater Review

After cardiovascular diseases, cancer is the second leading cause of death in America. Since 1990 over half a million Americans have died each year of some form of cance1; and the number and rate is still increasing. In 1970 approximately 17 percent of all deaths were attributed to cancer, while by 1995 the figure had risen to 24 percent. In her chilling book on the meaning of illness in America, Illness as Metaphor, Susan Sontag described cancer as the sickness of the American 20th century. Learning about cancer has become more than a useful chore for those who suffer from ...

The Use Of Emergency Contraception: College-Age Students' Knowledge And Attitudes, Dollie J. Cadden

MSN Research Projects

The emergency contraceptive pill is a method of postcoital contraception. The method, often called the morning after pill, is relatively unknown, both among potential users and some health care providers. Morning after pills are available at the health centers of many universities. Recently, proposals have appeared in the academic and popular press to expand the availability of emergency contraceptive pills. On college campuses, where many students risk becoming pregnant but where few pregnancies are wanted, there may be a considerable unmet need for expanded availability of emergency contraceptive pills. At this time, few studies have documented the prevailing knowledge, attitudes ...

Update - December 1998, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- The Bible and Bioethics: Material, Method, and Metaphor

Marijuana Photonovel, A Year Up In Smoke, M. Susan Jones

Nursing Faculty Publications

No abstract provided.

Protocol For Management Of Hypertension By Family Practitioners, Badar Sabir Ali, R Qureshi, R H. Dhanani

Department of Family Medicine

No abstract provided.

Identification And Characterization Of Spcu, A Chaperone Required For Efficient Secretion Of The Exou Cytotoxin, Viviane Finck-Barbançon, Timothy L. Yahr, Dara W. Frank

Dartmouth Scholarship

In recent studies, we have shown that Pseudomonas aeruginosa strains that are acutely cytotoxic in vitro damage the lung epithelium in vivo. Genetic analysis indicated that the factor responsible for acute cytotoxicity was controlled by ExsA and therefore was part of the exoenzyme S regulon. The specific virulence determinant responsible for epithelial damage in vivo and cytotoxicity in vitro was subsequently mapped to the exoU locus. The present studies are focused on a genetic characterization of the exoU locus. Northern blot analyses and complementation experiments indicated that a region downstream of exoU was expressed and that the expression of this ...

Morphine-Conditioned Changes In Locomotor Activity: Role Of The Conditioned Stimulus, Rick A. Bevins, Michael T. Bardo

Faculty Publications, Department of Psychology

When a multisensory environment was reliably paired with morphine (2 mg/kg) in rats, that environment, in a drug-free test, evoked a hyperactive conditioned response (CR). When an olfactory cue (banana odor) was the only stimulus element reliably paired with morphine, it also elicited a hyperactive CR. However, a gustatory cue (saccharin solution) evoked a hypoactive CR. This taste-elicited decrease in activity was dose dependent; morphine at 2 and 4 mg/kg conditioned hypoactivity, whereas a higher dose (8 mg/kg) did not. A robust conditioned saccharin aversion occurred only at the highest dose of morphine, suggesting disassociation between the ...

Protecting The Fetus: The Criminalization Of Prenatal Drug Use, Kellam T. Parks

William & Mary Journal of Race, Gender, and Social Justice

No abstract provided.

Epithelial Cell Invasion By Actinobacillus Actinomycetemcomitans Strains From Restriction Fragment-Length Polymorphism Groups Associated With Juvenile Periodontitis Or Carrier Status, G. Lépine, S. Caudry, J. M. Dirienzo, R. P. Ellen

Departmental Papers (Dental)

The epithelial cell invasiveness of Actinobacillus actinomycetemcomitans strains of different restriction fragment-length polymorphism (RFLP) groups associated with disease conversion and asymptomatic carrier status in localized juvenile periodontitis was examined. Twenty clinical isolates were studied for their ability to invade KB monolayers, using the quantitative gentamicin killing assay. Five isolates were found to be invasive; five were not invasive; and the other 10 did not invade better than an invasion negative control Haemophilus aphrophilus strain ATCC 19415. Using probe-specific DNA fingerprinting, 11 strains were assigned to RFLP group II (disease–associated); 4 to RFLP type XIII (carrier status-associated); and the others ...

"And The Band Played On...", David A. Nash

Oral Health Science Faculty Publications

No abstract provided.